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813 - 780 -0020 City of Zephyrhills Permit Application �� , Fax -813- 780 -0021 <br /> Building Department <br /> Date Received AA /_ Phone Contact for Permitting — <br /> Owner's Name �`l� r e(r T /4/L 4 e X — ` u° ` - / Owner Phone Number <br /> Owner's Address 3 f U -3 / aL-w -e, 1: y '''(-4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 2, <br /> ct J a LOT 2.---- JOB ADDRESS J Jw3 I � �( <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR ADD /ALT 1 1 SIGN [ I I I DEMOLISH <br /> l/ INSTALL REPAIR <br /> PROPOSED USE I— SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK [] FRAME 1 1 STEEL I I I I <br /> DESCRIPTION OF WORK ) (L L I +U <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> IELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> IPLUMBING $ <br /> (MECHANICAL $ 73' D 0 VALUATION OF MECHANICAL INSTALLATION <br /> IGAS I I ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N I <br /> Address Si se # <br /> MECHANICAL /I { J/e# COMPANY <br /> REGIS TERED Y / N FEE CURRE Y / N <br /> SIGNATURE � � / ��,. I I I 1 <br /> Address 1-1 2-6.1 wy' /U tc ( 14 *A J ( '3'3. S / 17 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y / N I <br /> Address License # 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> * ** *PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />